For Groups in South and North Tyneside

Application Form

for Groups in South and North Tyneside

Please complete all sections of this form in FULL. Refer to the Information & Guidance Notes attached when completing this form. Information about U.Dance 2018 is here:

Step Up and Dance is The Customs House’s dance platform for North and South Tyneside, a fantastic opportunity for groups to perform on a professional stage in front of a public audience.

-We only have space to showcase the work of 10 groups, so each participating organisationis limited to just one group each.

-Groups placing an emphasis on new and original choreography set to interesting soundtracks are favoured.

-Performances can last a maximum of 7 minutes with groups of no more than 20 dancers performing.

-There is no fee for taking part in Step Up and Dance.

Step Up and Dance will take place on Tuesday 6thFebruary 2018 at 7pm and once again include the Pulse optional progression element - with some groups chosen to perform at Dance City in Newcastle on Saturday 17th March. To take part in Pulse, groups must be made up of 11-19 year olds (and disabled young people up to the age of 24).From the Dance City event two groups will be selected to represent the North East in Suffolk in July 2018.

In order for your work to be considered, we will require you to submit this form by Sunday 26th Novemberto .

Please complete this form in type, or if necessary withblack ink in BLOCK CAPITALS.

Section A - Contact details
Name of Group/ Company
Name of Group Leader
Correspondence address
(Please put name of contact for administration purposes if different from above)
Contact Tel. Number
Contact Mob. Number
E-mail Address
Section B - About the Group
Where is the group based?
How often does the group meet?
How long has the group been working together?
What dance styles does the group perform?
Do any of the group leaders or dancers have any access requirements?
How many dancers are there in the group? (Max 20 dancers)
Please state the age range of your dancers
Name of dancer / Age / School / Do they perform regularly (a performance license may be required)
Section C - Equal Opportunities
Ethnic Origin
Please list the ethnic origins of the young people in your group, along with the number of young people that consider themselves to be from that ethnic origin / Ethnic Origin / No. of young people
Prefer not to answer
Disability
No. of young people in group who consider themselves to have a disability
Prefer not to answer
Free School Meals
No. of young people in group entitled to free school meals
Prefer not to answer
Section D – Regulation Requirements
What insurance cover do you have for your work with the group?
Chaperone/Licensing / Please read thoroughly the guidelines for Child Performers Licensing and Chaperones (pages 11 of the guidance notes)
Does the Group currently have the appropriate number of up-to-date local authority licensed chaperones? (i.e. 1 licensed chaperone per 12 members aged 16 and under)
If you cannot provide the appropriate number of Authority Licensed Chaperones by the date of the festival your group may be unable to perform.
If you should need further guidance or assistance please contact Claire Eve on 020 7940 9800 / YES NO
If yes, pleasesupply information of the chaperone licensesbelow. / If no please ensure you begin the process of applying for licenses as soon as possible after selection as, it can take several weeks to process.
Section E – The RegionalPulseFestival
Pulse 2018 will take place at Dance City on Saturday 17th March
Do you want your group to be considered for a place at Pulse 2018? / YES NO
Section F – The National Youth Dance Festival: U.Dance 2018
U.Dance 2018 will take place from 11th to 14th July 2018, in Suffolk.
Do you want your group to be considered for a place at U.Dance 2018? / YES NO
If yes and you’re selected for U.Dance 2018, how do you intend to raise the £145 per person to attend?
I confirm I have read the Application Guidelines produced by One Dance UK for U.Dance 2018, available from / YES NO
Section G – About the Piece
Title of piece
Length of piece (between 2 and 7 minutes)
Choreographed by
Dance Styles Included
Title of Music & Composer/Artist/Musician
A description of the Company/Group/School (max 50 words):
Please describe the inspiration and concept behind the dance piece (max 50 words):
Section H – DECLARATION
I have read and understood the Information and Guidance Notes and have completed this form to the best of my knowledge
Signed:(we accept type)
Name:
Date:
Please tell us how you heard about Step Up and Dance?

Please return this completed form to . This form needs to be completed by Sunday 26th November or it will not be processed.